Healthcare Provider Details

I. General information

NPI: 1699568550
Provider Name (Legal Business Name): RYAN RICHARD HORNER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 FAIRVIEW AVE
LITTLE SILVER NJ
07739-1514
US

IV. Provider business mailing address

939 WOODLAND AVE
WALL TOWNSHIP NJ
07719-3131
US

V. Phone/Fax

Practice location:
  • Phone: 609-224-0003
  • Fax:
Mailing address:
  • Phone: 609-224-0003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00812900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: